| Objective:Cancer has gradually become one of the great harm to people's health killer,people's crisis consciousness to tumors is more and more high,the treatment showed a trend of diversification.Cancer patients suffer from diverse symptoms,including depression,anxiety,pain,and fatigue and lower quality of life(QoL)during disease progression.This study aimed to evaluate the benefits of Traditional Chinese Medicine psycho-behavioral interventions(TCM PBIs)on improving Qo L by analysis.Methods:Electronic literature databases(PubMed,CNKI,VIP,and Wanfang)were searched for randomized,controlled trials conducted in China.The primary intervention was TCM PBIs.The main outcome was health-related QoL(HR QoL)post-treatment.We determined to use the modified Jadad scale.Four components associated with the risk of bias were assessed: sequence generation,blinding,reason for dropping out and allocation concealment.We applied standard analytic techniques to analyze data from papers that reached acceptable criteria.In this analysis,the overall Qo L in cancer patients was measured by the Karnofsky Performance Score(KPS),the Quality of Life Questionnaire Core-3(QoL-C30)or the Quality of Life Questionnaire for Chinese Cancer Patients with Chemo-biotherapy(QLQ-CCC).Tools used to evaluate specific physical aspects ofQo L included the Visual Analogue Scale(VAS),the Pittsburgh Sleep Quality Index(PSQI)and the Piper Fatigue Scale.Instruments for assessing psychological aspects of Qo L included the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and the Profile of Mood States-Short Form(POMS-SF).Results:1.If the total score was ?2 points,the article was considered high quality.A total of 67 papers reached the criteria for entrance into the analysis when analyzing the association between PBIs and the QoL.There were 16 TCM PBIs and 51 non-TCM PBIs studies.Ranked by the total numbers of studies,the three most prevalent types of cancer for the TCM PBIs papers were malignant neoplasms of the digestive organs(26%),female genital organs(15%)and respiratory and intrathoracic organs(15%)(Data Supplemental Fig.DS1B).For the non-TCM PBIs articles,the three most frequently reported types of cancer were malignant neoplasms of the breast(24%),digestive organs(15%)and female genital organs(14%);2.The six TCM PBIs analyzed were acupuncture,Chinese massage,Traditional Chinese Medicine five elements musical intervention(TCM FEMI),Traditional Chinese Medicine dietary supplement(TCM DS),Qigong and Tai Chi.Although both TCM PBIs and non-TCM PBIs reduced functional impairments in cancer patients and led to pain relief,depression remission,reduced time to flatulence following surgery and sleep improvement;3.TCM PBIs showed more beneficial effects as assessed by reducing both fatigue and gastrointestinal distress;4.In particular,acupuncture relieved fatigue,reduced diarrhea and decreased time to flatulence after surgery in cancer patients;5.while therapeutic Chinese massage reduced time to flatulence and time to peristaltic sound.Conclusion:These findings demonstrate the efficacy of TCM PBIs in improving QoL in cancer patients and establish that TCM PBIs represent beneficial adjunctive therapies for cancer patients. |
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